Healthcare Provider Details

I. General information

NPI: 1083121354
Provider Name (Legal Business Name): ASHLEY HUNT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 WASHINGTON ST UNIT 102
EVANSTON IL
60202-1557
US

IV. Provider business mailing address

2223 WASHINGTON ST UNIT 102
EVANSTON IL
60202-1557
US

V. Phone/Fax

Practice location:
  • Phone: 708-943-7514
  • Fax:
Mailing address:
  • Phone: 708-943-7514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.015443
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.020382
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: